Individual provider Active NPI

Melody Beth Caldwell, PSYD

  • Psychologist
  • Canonsburg, PA
National Provider Identifier
1124789698
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019482 Issued in PA
Practice address
6000 Town Center Blvd Ste 142
Canonsburg, PA 15317-5833
Phone
(724) 249-2829
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019482 PA Primary

Addresses

Primary practice location

6000 Town Center Blvd Ste 142
Canonsburg, PA 15317-5833

Mailing address

4953 E Willock Rd
Pittsburgh, PA 15227-3659
Phone (412) 350-8698

Other practice location 1

3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unknown Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS019482PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samkirk LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1124789698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 E WILLOCK RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273659",
            "telephone_number": "412-350-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TOWN CENTER BLVD STE 142",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175833",
            "telephone_number": "724-249-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Butler St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152011375",
            "country_code": "US",
            "telephone_number": "412-857-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "MELODY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6000 Town Center Blvd Ste 142",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153175833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.